West Herts. PCT Cardiac Rehabilitation Service

Cardiology Connect Meeting– Wednesday 17th September 2008

Chris Pace – Senior Cardiac Rehab. Nurse

Marie-Jeanne Chitnis – Senior Cardiac Rehab. Physiotherapist

What does Cardiac Rehab do?

• CHD is the biggest killer in the UK

• NICE

• British Heart Foundation

• National Service Framework

• Secondary Prevention

• British Association of Cardiac Rehab.

4 Phases of Cardiac Rehab.

Phase I – Wards and CCUPhase I – Wards and CCU

Phase II – Telephone Advice / support post-discharge

Phase II – Telephone Advice / support post-discharge

Phase III – Exercise and Education

Phase III – Exercise and Education

Phase IV – Exercise Referral Scheme or other *BACR classes

Phase IV – Exercise Referral Scheme or other *BACR classes

Cardiac Rehab Phase

III

MDT:Nurses,

Physio’s, OTDietician,Fitness

Instructors

14 sessions:2 x week

For 7 weeks

WatfordSt. Albans

Hemel Hempstead

Exercise and

Education

BHF Leaflets

BHF Leaflets

Psychological support and Counselling

Psychological support and Counselling

HADSHADS

Refer to smoking cessation

Refer to smoking cessation

Pharmacy talk

Pharmacy talk Exercise

Advice

Exercise Advice

Stress and Relaxation

Stress and Relaxation

Dietary advice

Dietary advice

BP, Pulse,BP, Pulse,

BMI and Waist

BMI and Waist

CHD explained

CHD explained

CARDIAC REHAB.

CARDIAC REHAB.

What do we expect from GP’s

Treat depression - QOF

Treat depression - QOF

Counselling for HADS > 13

Counselling for HADS > 13

Sexual counselling and treat Erectile Dysfunction

Sexual counselling and treat Erectile Dysfunction

Check cholesterol6/12

Check cholesterol6/12

Review symptomatic patients and refer

back to Cardiologists

Review symptomatic patients and refer

back to Cardiologists

Refer patients following MI, PCI, CABG or Valve Sx

Refer patients following MI, PCI, CABG or Valve Sx

Review medicationand treat

Hypertension and Diabetes

Review medicationand treat

Hypertension and Diabetes

GPGP